Profile Comparison between http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips vs http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/AllergyIntolerance
copyright		Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).	Added the item 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'
date	2024-06-19T10:50:07-05:00	2025-12-12T08:00:08+00:00	Values Differ
description	This profile represents the constraints applied to the AllergyIntolerance resource by the International Patient Summary (IPS) FHIR Implementation Guide. A record of an allergy or intolerance is represented in the patient summary as an instance of an AllergyIntolerance resource constrained by this profile. It documents the relevant allergies or intolerances for a patient, describing the kind of reaction (e.g. rash, anaphylaxis,..); preferably the agents that cause it; and optionally the criticality and the certainty of the allergy.	This profile sets minimum expectations for the AllergyIntolerance resource common to most of the use cases.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		http://unstats.un.org/unsd/methods/m49/m49.htm#150	Added the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#150'
kind	resource
name	AllergyIntoleranceUvIps	AllergyIntoleranceEuCore	Values Differ
publisher	HL7 International / Patient Care	HL7 Europe	Values Differ
purpose	This profile constrains the representation of a record of an allergy or intolerance of the patient, in the context of the international patient summary as specified by the IPS project of HL7 International.	This profile constrains the AllergyIntolerance resource for the purpose of project.	Values Differ
status	active	draft	Values Differ
title	AllergyIntolerance (IPS)	Allergy Intolerance (EU core)	Values Differ
type	AllergyIntolerance
url	http://hl7.org/fhir/uv/ips/StructureDefinition/AllergyIntolerance-uv-ips	http://hl7.eu/fhir/base/StructureDefinition/allergyIntolerance-eu-core	Values Differ
version	2.0.0	2.0.0-ci-build	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
AllergyIntolerance	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)	C	0..*	AllergyIntolerance	Allergy or Intolerance (generally: Risk of adverse reaction to a substance)
id	Σ	0..1	id	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url		0..*	Extension	Extension Slice: Unordered, Open by value:url
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	External ids for this item	Σ	0..*	Identifier	External ids for this item
clinicalStatus	?!SOΣC	0..1	??	active | inactive | resolved Binding: ?? (required): The clinical status of the allergy or intolerance. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	?!ΣC	0..1	CodeableConcept	Current allergy or Intolerance status Binding: ?? (required): The clinical status of the allergy or intolerance.	Elements differ in definition for mustSupport: 'true' vs 'false'
verificationStatus	?!ΣC	0..1	CodeableConcept	unconfirmed | confirmed | refuted | entered-in-error Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.	?!ΣC	0..1	CodeableConcept	Certainty Binding: ?? (required): Assertion about certainty associated with a propensity, or potential risk, of a reaction to the identified substance.
type	SOΣ	0..1	code	allergy | intolerance - Underlying mechanism (if known) Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ	0..1	code	Type of propensity Binding: ?? (required): Identification of the underlying physiological mechanism for a Reaction Risk.	Elements differ in definition for mustSupport: 'true' vs 'false'
category	Σ	0..*	code	food | medication | environment | biologic Binding: ?? (required): Category of an identified substance associated with allergies or intolerances.	Σ	0..*	code	food | medication | environment | biologic Binding: ?? (required): Category of an identified substance associated with allergies or intolerances.
criticality	Σ	0..1	code	low | high | unable-to-assess Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.	Σ	0..1	code	Criticality Binding: ?? (required): Estimate of the potential clinical harm, or seriousness, of a reaction to an identified substance.
code	SOΣ	1..1	??	Code that identifies the allergy or intolerance Binding: ?? (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose ?? candidate Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ	1..1	CodeableConcept	Code that identifies the allergy or intolerance Binding: ?? (preferred): Type of the substance/product, allergy or intolerance condition or a code for absent/unknown allergy. Additional Bindings Purpose ?? candidate ?? candidate	Elements differ in definition for mustSupport: 'true' vs 'false' Example/preferred bindings differ at AllergyIntolerance.code using binding from AllergyIntoleranceUvIps
patient	SOΣ	1..1	Reference(Patient (IPS))	Who the sensitivity is for Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)	Σ	1..1	Reference(Patient (EU core))	Who the sensitivity is for	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	1..1	string	Literal reference, Relative, internal or absolute URL Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS)	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL	Elements differ in definition for mustSupport: 'true' vs 'false'
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted		0..1	Reference(Encounter)	Encounter when the allergy or intolerance was asserted
Slices for onset[x]	SO	0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Slice: Unordered, Open by type:$this Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		0..1	dateTime, Age, Period, Range, string	When allergy or intolerance was identified Slice: Unordered, Open by type:$this	Elements differ in definition for mustSupport: 'true' vs 'false'
recordedDate		0..1	dateTime	Date first version of the resource instance was recorded		0..1	dateTime	Date first version of the resource instance was recorded
recorder		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity		0..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson)	Who recorded the sensitivity
asserter	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy	Σ	0..1	Reference(Patient | RelatedPerson | Practitioner | PractitionerRole)	Source of the information about the allergy
lastOccurrence		0..1	dateTime	Date(/time) of last known occurrence of a reaction		0..1	dateTime	Date(/time) of last known occurrence of a reaction
note		0..*	Annotation	Additional text not captured in other fields		0..*	Annotation	Additional text not captured in other fields
reaction	SO	0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		0..*	BackboneElement	Adverse Reaction Events linked to exposure to substance	Elements differ in definition for mustSupport: 'true' vs 'false'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
substance		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: ?? (example): Codes defining the type of the substance (including pharmaceutical products).		0..1	CodeableConcept	Specific substance or pharmaceutical product considered to be responsible for event Binding: ?? (example)
manifestation	SO	1..*	??	Clinical symptoms/signs associated with the Event Binding: ?? (preferred): Code for the allergy or intolerance reaction manifestation from SNOMED CT. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		1..*	CodeableConcept	Clinical symptoms/signs associated with the Event Binding: ?? (preferred): Type of allergy or intolerance reaction expected to be used in MyHealth@EU Additional Bindings Purpose ?? candidate	Elements differ in definition for mustSupport: 'true' vs 'false'
description		0..1	string	Description of the event as a whole		0..1	string	Description of the event as a whole
onset		0..1	dateTime	Date(/time) when manifestations showed		0..1	dateTime	Reaction onset
severity	SO	0..1	code	mild | moderate | severe (of event as a whole) Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations. Obligations Actor SHALL:populate-if-known Creator (IPS) SHALL:handle Consumer (IPS) SHOULD:display Consumer (IPS)		0..1	code	Reaction severity Binding: ?? (required): Clinical assessment of the severity of a reaction event as a whole, potentially considering multiple different manifestations.	Elements differ in definition for mustSupport: 'true' vs 'false'
exposureRoute		0..1	CodeableConcept	How the subject was exposed to the substance Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.		0..1	CodeableConcept	How the subject was exposed to the substance Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
note		0..*	Annotation	Text about event not captured in other fields		0..*	Annotation	Text about event not captured in other fields
Documentation for this format